- GovCIO (Alexandria, VA)
- …commensurate experience) + 10+ years of progressive experience in telecommunications network architecture and federal contract management + Clearance Required: ... **Overview** GovCIO is currently hiring a highly experienced Senior Network Architect/Engineer to provide expert analysis and consultation in support of… more
- Humana (Phoenix, AZ)
- …cross-functional teams with timely updates on contracting status, rate changes, and network developments. + Managing these contract relationships with large ... health insurance. Provider Contracting Professional 2 + Actively communicates contract terms, payment structures, reimbursement rates to providers internal and… more
- Molina Healthcare (Austin, TX)
- …Operating Committees, and delegation oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts, ... the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider and routine ancillary… more
- Molina Healthcare (Omaha, NE)
- …markets and expansion opportunities. * Provides training and guidance as needed to the Contract Managers and Contract Specialist(s). * Helps develop and ... Management & Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and geographic… more
- Burlington (Edgewater Park, NJ)
- **Position Overview** Position Summary: The Manager Network & Telecom Services is responsible for the design, delivery, and 24/7 operation of Burlington's ... **A Day In The Life** **Duties and Responsibilities:** + Lead and develop the Network and Telecom team (internal, contract , and offshore MSP resources) to… more
- Fallon Health (Worcester, MA)
- …genetics, against appropriate criteria/guidelines to determine medical necessity, benefit eligibility, and network contract status * Refers all cases that do not ... Keeps records and submits reports as assigned by the Manager * Refers high-risk cases to the appropriate FH...meet medical necessity, benefit eligibility, and network contract status criteria to a physician… more
- Healthfirst (Enfield, NY)
- …meetings cross-departmentally to achieve positive outcomes in management of ancillary provider network . + Create contracts in HF contract software and review ... Job Description + Manage a network of Ancillary Providers for all lines of...management with research and facilitation of projects related to contract updates, new product implementation and new reimbursement methodologies.… more
- GovCIO (Santa Fe, NM)
- …hiring for Network Reliability Engineer to support our client's contract needs.The Network Reliability Engineer will support, maintain, optimize, monitor, ... have extensive experience with SolarWinds Network Performance Monitor (NPM), Network Configuration Manager (NCM), NetFlow Traffic Analyzer (NTA), and… more
- Molina Healthcare (Jackson, MI)
- …experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed ... must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, … more
- Molina Healthcare (Bellevue, NE)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... network and implement strategic plans with the goal of meeting Molina's network adequacy standards. + Assesses contract language for compliance with Corporate… more
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